The Roanoke location serves an initial base of 1,500 patients, with capacity projections reaching 10,000. The site offers 24/7 pharmacist support, same-day IV services, and emergency STAT medication delivery. To improve clinical oversight, the facility utilizes proprietary technology designed to provide healthcare partners with real-time tracking of prescription status and secure communication channels with pharmacy staff.

Founder Joel Zupnick stated that the expansion prioritizes proximity to seniors and the care communities that rely on specialized pharmacy services. Executive Vice President Chesky Berkowitz added that the local presence is intended to deepen collaboration with facility partners and streamline operational responsiveness. A ribbon-cutting ceremony scheduled for July 29, 2026, will feature local officials and community leaders to mark the official start of operations.